Individual provider Active NPI

Maria Camila Macias, DPT

  • Physical Therapist
  • San Luis, AZ
National Provider Identifier
1386127066
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30237 Issued in AZ
Practice address
1233 N. Main Street
Suite 10, 11, 12
San Luis, AZ 85349-0000
Phone
(928) 722-6050
NPI assigned
Sep 10, 2018
Last updated
Jul 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-30237 AZ Primary

Addresses

Primary practice location

1233 N. Main Street
Suite 10, 11, 12
San Luis, AZ 85349-0000

Mailing address

PO Box 5841
Yuma, AZ 85366-2490
Phone (928) 722-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127001343 AZ Practitioner - Physical Therapist in Private Practice 7315281607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3840 W 24TH St
Suite 4
Yuma, AZ 85364-9262
Phone (928) 783-0840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30237AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Orthopedic Physical Therapy LLC Physical Therapist CurrentSince Jan 20, 2024 Accepting new patients
DHT Hand Therapy Limited Partnership Physical Therapist CurrentSince Sep 17, 2018 Accepting new patients
DHT Hand Therapy Limited Partnership CurrentSince Sep 17, 2018 Accepting new patients
DHT Hand Therapy Limited Partnership Physical Therapist Current Accepting new patients
Adult and Pediatric Rehabilitation Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
DME of Yuma LLC Past Accepting new patients
Quality Rehabilitation Network Inc Physical Therapist Past Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

3104 E Indian School Rd
Ste 200A
Phoenix, AZ 85016
Phone (602) 955-2302

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

1962 E Juan Sanchez Blvd
Ste B
San Luis, AZ 85336

1302 E Main St
Somerton, AZ 85350

2281 W 24th St
Yuma, AZ 85364
Phone (909) 251-5978

3840 W 24th St
Ste 4
Yuma, AZ 85364
Phone (928) 783-0840

3840 W 24th St
Ste 2
Yuma, AZ 85364

2281 W 24th St
Ste 3
Yuma, AZ 85364
Phone (928) 341-1200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1386127066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5841",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662490",
            "telephone_number": "928-722-6050",
            "fax_number": "928-722-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N. MAIN STREET",
            "address_2": "SUITE 10, 11, 12",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853490000",
            "telephone_number": "928-722-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MARIA",
        "middle_name": "CAMILA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.